Centre for Policy on Ageing
 

 

Partnership working by default
 — district nurses and care home staff providing care for older people
Author(s)Claire Goodman, Nadia Robb, Vari Drennan
Journal titleHealth & Social Care in the Community, vol 13, no 6, November 2005
Pagespp 553-562
Sourcewww.blackwellpublishing.com/hsc
KeywordsDistrict nurses ; Care home staff ; Care homes ; Comparison ; Research ; Progress reports.
AnnotationOlder people resident in care homes offering residential care only rely on primary healthcare services for medical and nursing needs. This paper describes two consecutive studies completed in 2001 and 2002 that involved focus groups and survey methods of enquiry. Both asked questions regarding: the contribution of district nursing and other primary care services to care homes with no on-site nursing provision; strategies that promote participation and collaboration between residents, care home staff and NHS primary care nursing staff; and obstacles and aids to effective partnership working and learning. 74 community-based nurses and care home managers and staff took part in 10 focus groups. 124 care home managers and 113 district nurse team leaders participated in the surveys. Findings from both studies demonstrated that nurses were the most frequent professional visiting care homes. Although care home managers and district nurses believed that they had a good working relationship, their expectations differed. This influenced the range of services that older people had access to and the amount of training and support care home staff received from district nurses and the extent to which they were able to develop collaborative and reciprocal patterns of working. Community-based nursing services need to adopt a more strategic approach that ensures older people in care homes can access the services they are entitled to and receive equivalent healthcare to older people who live in their own homes. (RH).
Accession NumberCPA-051118206 A
ClassmarkQTG: QRM: KW: 48: 3A: 6KC

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